The Need for Patient-centered Education Among Patients Newly Diagnosed With a Pituitary Tumor

Author:

Donegan Diane12ORCID,Gowan Tayler3,Gruber Rachel3,Cottingham Ann3,Flanagan Mindy3,Erickson Dana2,Imperiale Thomas F345

Affiliation:

1. Division of Endocrinology Diabetes and Metabolism, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA

2. Mayo Clinic, Division of Endocrinology, Diabetes and Metabolism, Rochester, MN 55905, USA

3. Center for Health Services Research, Regenstrief Institute, Indianapolis, IN 46202, USA

4. Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA

5. Richard L. Roudebush VA Medical Center, Indianapolis, IN 46202, USA

Abstract

Abstract Objectives Brain tumors, including pituitary adenomas (PA), cause anxiety and distress, with a high unmet need for information correlating with increased anxiety. Condition-specific education may alleviate anxiety. We explored patients’ experience around the diagnosis of a PA and piloted a patient education intervention to address peridiagnostic anxiety in adults diagnosed with PA. Methods Anxiety, patient satisfaction, patient knowledge, and need for information were measured prior to, immediately after, and 1 month following the appointment in this multimethods study. A phone interview to explore patient diagnostic and intervention experiences was analyzed using qualitative methods. Results A total of 17 patients participated in the study; 15 completed the interview. The baseline need for information was high. Disease-specific anxiety decreased, and patient knowledge and satisfaction increased significantly after the initial visit. Interview analysis identified 3 main themes: (1) the importance of communication; (2) the need for information; and (3) the impact of the diagnosis on patient experience. Conclusions For patients with newly diagnosed PA, the diagnostic experience was associated with high levels of anxiety. Patients expressed a need for information. Information delivery reduced anxiety and had a positive impact on patient satisfaction. Practice Implications The study findings suggest a need for a streamlined diagnostic process with readily accessible information.

Publisher

The Endocrine Society

Subject

Endocrinology, Diabetes and Metabolism

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